I arrived in Haiti on January 2, knowing that I had an accepting hospital, air transport by a corporate jet, but also knowing that I would have to achieve acceptance from the American government in Haiti regarding reina and mom's humanitarian parole status, and it was a holiday weekend.
When the critical care team at Piedmont Hospital started using the Surviving Sepsis Campaign/ IHI sepsis bundles, they discovered that the sepsis knowledge deficit coupled with the implementation of bundle requirements was an overwhelming barrier to change.